Having secured an agreement on reimbursements for out-of-network care with the last health insurer covering New Yorkers, the state’s governor and attorney general announced a new insurance regulation for patients.

New …  Read →

Delaware’s Secretary of Health and Social Services said she is “very disappointed” that one of the nation’s largest drugstore chains, Walgreens, will withdraw from the state’s Medicaid program, citing reimbursement …  Read →

Three subsidiaries of EmblemHealth of New York, N.Y., had their ratings downgraded by A.M. Best because of insufficient reimbursement levels for state-sponsored plans, meaning problems for its medical loss ratio.

A …  Read →

Insurers paid more than $235 million as a result of New York regulator’s action in 2008.

Eric Dinallo

In his 2008 Annual Report, New York State Insurance Superintendent Eric Dinallo says …  Read →

New York State Police arrested a Wayne County man on numerous charges, including insurance fraud, after he allegedly filed 113 claims with UnitedHealthcare for treatments never rendered and received more …  Read →

Pittsburgh-based health insurer Highmark is accused of blocking competition in Western Pennsylvania with the help of a local hospital system, according to a recently filed federal lawsuit.

West Penn Allegheny Health …  Read →

Picking up where he left off last month, Sen. John “Jay” Rockefeller (D-W. Va.) has asked 18 of the nation’s largest health insurers for more information on how they reimburse …  Read →

Calling testimony on the Ingenix out-of -network reimbursement database “profoundly troubling,” a Senate committee chairman called for more accountability by those responsible.

John "Jay" Rockefeller

Sen. John “Jay” Rockefeller (D-W. Va.), …  Read →

The American Medical Association and several other medical societies have filed a class-action suit against WellPoint Inc., alleging that the nation’s largest insurer participated in an industry-wide scheme to defraud …  Read →

New York Attorney General Andrew Cuomo has reached agreements with two New York insurers to stop using the controversial Ingenix reimbursement database after threatening to sue both companies last month.

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